LA JOLLA REHAB LLC NPI 1255174264

NPI Information

  • NPI: 1255174264
  • Provider Name: LA JOLLA REHAB LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 5755 OBERLIN DR STE 200
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (310) 343-8684

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NPI Details

LA JOLLA REHAB LLC is a rehabilitation and substance use disorder clinic center in San Diego, CA. LA JOLLA REHAB LLC NPI is 1255174264. The provider is registered as an organization entity type.

The provider's business location address is:

5755 OBERLIN DR STE 200
SAN DIEGO, CA
ZIP 92121-716
Phone: (310) 343-8684

The provider's authorized official is Shaina Donner .
The authorized official title is Owner and has the following contact phone number (310) 343-8684.

The enumeration date for this NPI number is 6/17/2024 and was last updated on 6/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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